CARLOS JAMES CRUDUP Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042541

License Status

EXPIRED

Business

First Name

CARLOS JAMES

Last Name

CRUDUP

Business Name

CARLOS JAMES CRUDUP

Original Issue Date

09/29/2004

Effective Date

09/29/2004

Expiration Date

12/31/2004

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006